Individual
BOGUM KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
833 NORTHERN BLVD, GREAT NECK, NY 11021-5315
(516) 498-8400
Mailing address
833 NORTHERN BLVD STE 160, GREAT NECK, NY 11021-5322
(516) 498-8400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021238
NY
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/03/2017
Last updated
07/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us